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Author Question: The patient has been recently diagnosed with hypertension. Assessment data includes Wt: 200 ... (Read 49 times)

Chelseaamend

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The patient has been recently diagnosed with hypertension. Assessment data includes
 
  Wt: 200 pounds
  Ht: 5' 4
  Diet: Mostly starches
  Alcohol intake: 3 beers/week
  Stressors: Works 60 hours/week
  In planning care with this patient, what is the priority outcome?
  1. Patient will eliminate alcohol from the diet.
  2. Patient will decrease stress by limiting work to 40 hours/week.
  3. Patient will balance diet according to the food pyramid.
  4. Patient will achieve and maintain optimum weight.

Question 2

The patient has been recently diagnosed with hypertension with a sustained blood pressure of 144/90 mmHg. The patient is concerned about effects on the body.
 
  What effects of hypertension on the body will the nurse include in her education of this patient?
  1. Kidney damage
  2. Stroke
  3. Liver failure
  4. Heart failure
  5. Blindness



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diesoon

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Answer to Question 1

Correct Answer: 4
Rationale: Achieving and maintaining optimum weight is of greatest importance when a patient has hypertension. For obese patients, a 10 to 20 pound weight loss can produce a measurable change in blood pressure. A balanced diet is important, but not the priority outcome. Decreasing stress is important, but not the priority outcome. Eliminating alcohol is important, but not the priority outcome.

Answer to Question 2

Correct Answer: 1,2,4,5
Rationale: The four target organs most commonly affected by hypertension are the heart, kidneys, brain, and retina. Liver failure is not commonly associated with hypertension.



Chelseaamend

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Both answers were spot on, thank you once again



diesoon

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